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Updated: May 15, 2026

Assays for Validating Histone Acetyltransferase Inhibitors
Published on: August 6, 2020
Toxicological and metabolic considerations for histone deacetylase inhibitors
Joanna Fraczek1, Tamara Vanhaecke, Vera Rogiers
1VUB, Toxicology, Laarbeeklaan 103, Brussels 1090, Belgium. jfraczek@vub.ac.be
Introduction:
Vorinostat and romidepsin were the first histone deacetylase (HDAC) inhibitors (HDi) that fulfilled the preclinical promise of anticancer potential in clinical trials. Nevertheless, they merely opened a new chapter in the history of cancer therapy. Demonstration of their antitumor activity was a straightforward task in in vitro setting. Proving their efficacy in vivo was much more difficult, since the effects of an administrated drug strongly depend on its absorption, distribution, metabolism and excretion.
Areas Covered:
This article summarizes clinical data on the pharmacokinetic properties of HDi that are currently at more advanced stages of clinical development. Specific attention is paid to the metabolic pathways. Moreover, a comprehensive overview of HDi-related adverse effects is given.
Expert Opinion:
At this moment, HDi form one of the most interesting classes of therapeutics, yet their efficacy and safety profiles could still be improved by i) designing better formulations, ii) more extensive characterization of their disposition at the preclinical stage, iii) targeting of individual disease-related deacetylase isoforms and/or their complexes, iv) selecting a target patient population with the highest probability of response based on molecular signatures.
Insights
Histone deacetylase inhibitors (HDIs) show anticancer promise, but their in vivo efficacy depends on absorption, distribution, metabolism, and excretion. Further research into formulations, preclinical characterization, isoform targeting, and patient selection can improve HDI therapy.
Area of Science:
- Pharmacology
- Oncology
- Drug Development
Background:
- Vorinostat and romidepsin are the first histone deacetylase inhibitors (HDACi or HDIs) to show anticancer potential in clinical trials.
- Demonstrating in vitro antitumor activity of HDIs is straightforward, but in vivo efficacy is challenging due to complex pharmacokinetic factors.
Purpose of the Study:
- To summarize clinical data on the pharmacokinetic properties of HDIs in advanced clinical development.
- To provide an overview of HDI metabolic pathways and related adverse effects.
Main Methods:
- Review of clinical data on HDIs.
- Analysis of pharmacokinetic properties, including metabolism.
- Compilation of adverse effect profiles.
Main Results:
- Clinical data on pharmacokinetics of advanced-stage HDIs are summarized.
- Metabolic pathways and adverse effects of HDIs are detailed.
Conclusions:
- HDIs represent a promising therapeutic class, but efficacy and safety can be enhanced.
- Improvements include better formulations, extensive preclinical disposition characterization, targeting specific deacetylase isoforms, and molecular signature-based patient selection.
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